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(You can recreate this sheet in any word processor; the data are drawn from the book’s evidence tables.) The 4ª edición of “Obstetricia” by Pérez‑Sánchez stands out as a compact, evidence‑rich, and visually engaging resource that bridges the gap between academic learning and day‑to‑day clinical practice. Its blend of up‑to‑date guidelines, practical algorithms, and digital enhancements makes it a must‑have for anyone involved in prenatal, intrapartum, or post‑natal care—whether you are a student turning the pages for the first time or a seasoned obstetrician looking for a quick refresher.
| Topic | Diagnostic Cut‑off | First‑line Treatment | Key Monitoring | |-------|--------------------|----------------------|----------------| | | BP ≥ 140/90 mmHg + proteinuria ≥ 300 mg/24 h | MgSO₄ for seizure prophylaxis; antihypertensives (labetalol, nifedipine) | Maternal labs, fetal doppler, weekly BP | | Gestational Diabetes | 75 g OGTT: Fasting ≥ 92 mg/dL, 1‑h ≥ 180 mg/dL, 2‑h ≥ 153 mg/dL | Lifestyle → Metformin → Insulin (if needed) | HbA1c, fetal growth scans every 4 weeks | | Placenta Previa | Ultrasound placenta over internal os | Pelvic rest, scheduled C‑section at 36‑37 weeks | Serial ultrasounds, monitor for bleeding | | Preterm Labor (≤ 34 wks) | Cervical length ≤ 25 mm + uterine activity | Nifedipine or atosiban, betamethasone 12 mg × 2 doses, MgSO₄ for neuroprotection | Daily tocolysis assessment, fetal monitoring | | Post‑partum Hemorrhage | Blood loss > 500 mL (vaginal) / > 1000 mL (C‑section) | Uterine massage → Oxytocin → Tranexamic acid → Bakri balloon | Hemoglobin, vitals, uterine tone | perez sanchez obstetricia 4 edicion pdf 21
| Feature | Benefit | |---------|----------| | (WHO, ACOG, NICE) incorporated throughout | Students and clinicians can rely on current best‑practice recommendations without having to cross‑check multiple sources. | | High‑resolution color illustrations & 3‑D ultrasound images | Complex anatomical relationships and procedural steps become instantly clear. | | Evidence‑based “Clinical Pearls” boxes at the end of each chapter | Quick, actionable take‑aways for bedside decision‑making. | | Self‑assessment questions (S.A.Q.) with detailed explanations | Ideal for board‑exam preparation and for reinforcing learning after each chapter. | | Digital companion (e‑book) with searchable text & video links | Enables interactive study on tablets, laptops, or smartphones. | 2. Structure at a Glance The textbook is organized into 21 comprehensive chapters—mirroring the traditional obstetrics curriculum but with a modern twist. Below is a snapshot of the chapter layout and the key themes each covers. (You can recreate this sheet in any word